Tobacco and alcohol are the most commonly used drugs of abuse and show the most serious comorbidity. The mesolimbic dopamine system contributes significantly to nicotine and ethanol reinforcement, but the underlying cellular signaling mechanisms are poorly understood. Nicotinic acetylcholine (nACh) receptors are highly expressed on ventral tegmental area (VTA) dopamine neurons, with relatively low expression in nucleus accumbens (NAcb) neurons. Because dopamine receptors D 1 and D 2 are highly expressed on NAcb neurons, nicotine could influence NAcb neurons indirectly by activating VTA neurons to release dopamine in the NAcb. To investigate this possibility in vitro, we established primary cultures containing neurons from VTA or NAcb separately or in cocultures. Nicotine increased cAMP response element-mediated gene expression only in cocultures; this increase was blocked by nACh or dopamine D 1 or D 2 receptor antagonists. Furthermore, subthreshold concentrations of nicotine with ethanol increased gene expression in cocultures, and this increase was blocked by nACh, D 2 or adenosine A 2A receptor antagonists, G␥ or protein kinase A (PKA) inhibitors, and adenosine deaminase. These results suggest that nicotine activated VTA neurons, causing the release of dopamine, which in turn stimulated both D 1 and D 2 receptors on NAcb neurons. In addition, subthreshold concentrations of nicotine and ethanol in combination also activated NAcb neurons through synergy between D 2 and A 2A receptors. These data provide a novel cellular mechanism, involving G␥ subunits, A 2A receptors, and PKA, whereby combined use of tobacco and alcohol could enhance the reinforcing effect in humans as well as facilitate long-term neuroadaptations, increasing the risk for developing coaddiction.Alcoholism and nicotine addiction are significant public health problems (see Dani and Harris, 2005). The vast majority of alcoholics also smoke tobacco, with a significantly greater incidence of ethanol dependence in smokers versus nonsmokers (Miller and Gold, 1998). Early onset of smoking carries an increased risk for alcoholism later in life, in part because ethanol consumption is higher in smokers than in nonsmokers (Rimm et al., 1995). Smoking is also associated with increased risk for alcoholism relapse and other substance abuse (Sobell et al., 2002). Moreover, recent studies in PC12 cells show that ethanol up-regulates the expression of nicotinic acetylcholine receptors (nAChR) (Dohrman and Reiter, 2003), considered to reflect physical dependence on nicotine (Dani and Heinemann, 1996). However, despite frequent mutual reinforcement and comorbidity of alcoholism